DR. PRUDENCIO ESTOLERO LAROYA M.D.
NPI 1164408142
Pediatrics in Fort Pierce, FL

Active since December 21, 2005CLIA 10D2096634 · Waiver
1801 S 23RD ST, SUITE 3, FORT PIERCE, FL 34950(772) 466-2045(772) 466-8646 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Prudencio Estolero Laroya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRUDENCIO ESTOLERO LAROYA M.D. (NPI 1164408142) is an individual pediatrics provider in Fort Pierce, Florida, licensed in Florida (ME44748) and active in the NPI registry since December 2005. He holds a CLIA Waiver certificate valid through May 28, 2027.

NPPES Registry Identity

NPI1164408142
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PRUDENCIO ESTOLERO LAROYACredential: M.D.
Location Address1801 S 23RD ST, SUITE 3Fort Pierce, FL 34950-4830
Mailing Address1801 S 23rd St, Suite 3Fort Pierce, FL 34950-4830 · (772) 466-2045 · Fax (772) 466-8646
Fax(772) 466-8646
Sole ProprietorYes
Enumeration DateDecember 21, 2005
Last NPPES UpdateJanuary 14, 2019
NPI 1164408142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME44748
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1801 S 23RD ST, Fort Pierce, FL 34950

Other Identifiers 2

Medicaid003471100FL
Medicaid069288300FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2096634

Prudencio E Laroya MD PA · Fort Pierce, FL
Active · expires May 28, 2027
CLIA Number10D2096634
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorPrudencio E. Laroya
Laboratory Phone(772) 466-2045
Laboratory LocationPrudencio E Laroya MD PA1801 S 23rd St Ste 3, Fort Pierce, FL 34950
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1801 S 23RD ST, STE 1
FORT PIERCE, FL 34950
Pediatrics
1801 S 23RD ST, SUITE 3
FORT PIERCE, FL 34950
Orthopaedic Surgery
1801 S 23RD ST, SUITES 7 AND 8
FORT PIERCE, FL 34950
General Practice
1801 S 23RD ST, SUITE 9
FORT PIERCE, FL 34950
Contractor
1801 S 23RD ST, SUITE 10
FORT PIERCE, FL 34950
Pediatrics
1801 S 23RD ST, SUITE 3
FORT PIERCE, FL 34950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prudencio Laroya's NPI number?

The NPI number for Prudencio Laroya is 1164408142. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Prudencio Laroya located?

Prudencio Laroya practices at 1801 S 23rd St Suite 3, Fort Pierce, FL 34950. The listed phone number is (772) 466-2045.

What is Prudencio Laroya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Prudencio Laroya hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2096634) is associated with this NPI, valid through May 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prudencio Laroya was last updated on January 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.